Acemetacin
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Acemetacin
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CAS No:
53164-05-9
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Formula:
C21H18ClNO6
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Chemical Name:
Acemetacin
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Synonyms:
1H-Indole-3-acetic acid,1-(4-chlorobenzoyl)-5-methoxy-2-methyl-,carboxymethyl ester;Acemetacin;TVX 1322;Rantudil;K 708;Acemethacin;1-(p-Chlorobenzoyl)-5-methoxy-2-methylindole-3-acetic acid carboxymethyl ester;Acemet;Rheumibis;Solart;TV 1322;Emflex;Acemix;2-[2-[1-[(4-Chlorophenyl)carbonyl]-5-methoxy-2-methylindol-3-yl]acetyloxy]acetic acid;Rheutrop;1-(4-Chlorobenzoyl)-5-methoxy-2-methyl-1H-indole-3-acetic acid carboxymethyl ester;Acemethazine;2-[2-[1-(4-Chlorobenzoyl)-5-methoxy-2-methylindol-3-yl]acetyl]oxyacetic acid;136298-38-9
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CAS No:
Description
Acemetacin is a non-steroidal anti-inflammatory drug and a glycolic acid ester of indometacin that is a cyclooxygenase inhibitor.Target: COXAcemetacin is a non-steroidal anti-inflammatory drug, used for the treatment of osteoarthritis, rheumatoid arthritis, lower back pain, and relieving post-operative pain. Acemetacin, a glycolic acid ester of indometacin, acts as a prodrug; in the body, it is metabolized to indometacin, which then acts as an inhibitor of cyclooxygenase, producing the a
Acemetacin is a carboxylic ester that is the carboxymethyl ester of indometacin. A non-steroidal anti-inflammatory drug, it is used in the treatment of rheumatoid arthritis, osteoarthritis, and low back pain, as well as for postoperative pain and inflammation. Its activity is due to both acemetacin and its major metabolite, indometacin. It has a role as a prodrug, an EC 1.14.99.1 (prostaglandin-endoperoxide synthase) inhibitor, a non-steroidal anti-inflammatory drug and a non-narcotic analgesic. It is a N-acylindole, a monocarboxylic acid, a carboxylic ester, an indol-3-yl carboxylic acid and a member of monochlorobenzenes. It derives from an indometacin.|Acemetacin is a carboxymethyl ester of indometacin. It is a potent non-steroidal anti-inflammatory drug, derived from the indol-3-acetic acid, whose activity is thought to be mainly through its active metabolite indomethacin. In clinical trials, acemetacin exhibits a better gastric tolerability compared to its active metabolite indometacin. It was developed by E. Merck and Company in Germany as an attempt to provide a safer drug but other than the amelioration on the gastrointestinal effects, the metabolism of acetamicin led to the formation of indomethacin and it kept the same side effects.
Acemetacin Basic Attributes
415.82
415.82
258-403-4
5V141XK28X
757413
DTXSID7022540
M01AB11|M - Musculo-skeletal system
29339900
Characteristics
94.8
4.2
Light yellow solid
1.428 g/cm3
151.5 °C
637ºC
295.8±30.1 °C
1.611
H2O: Slightly soluble
-20°C Freezer
Oral-rat LD50:24mg/kg;Oral-Mouse LD50: 18 mg/kg
Flammable; decomposes by heating to release extremely toxic nitrogen oxides and chloride fumes
2.6
191 Ų [M+H]+ [CCS Type: TW, Method: calibrated with polyalanine and drug standards]
Safety Information
Ⅱ
6.1(a)
UN 2811
3
26/27/28
22-25-36/37/39-45-24/25
NL3521400
T+
Warehouse ventilated, low temperature and dry
Stable at normal temperatures and pressures.
Missing Phrase - N15.00950417-P260-P262-P280-P302 + P352 + P310-P304 + P340 + P310
H300 + H310 + H330
|Danger|H300 (100%): Fatal if swallowed [Danger Acute toxicity, oral]|P260, P262, P264, P270, P271, P280, P284, P301+P310, P302+P350, P304+P340, P310, P320, P321, P322, P330, P361, P363, P403+P233, P405, and P501|Aggregated GHS information provided by 64 companies from 3 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.
Toxicity
most toxic
The pharmacological activity of acemetacin causes blockage of prostaglandin synthesis. Prostaglandin is one of the mediators of renal blood flow and glomerular filtration thus, acemetacin causes a decreased renal function, transient renal insufficiency, interstitial nephritis and papillary necrosis especially in elderly patients, patients with congestive heart failure, hepatic cirrhosis and impaired renal function.
Acemetacin is found highly bound to plasma proteins, reaching a percentage higher than 90% of the administered dose.
Drug Information
Acemetacin is not FDA, Canada or EMA approved, but in the countries where it is marketed it is indicated for the symptomatic treatment of pain and swelling in acute inflammation of the joints in rheumathoid arthritis, osteoarthritis, low back pain and post-surgical pain. It is also indicated for the treatment of chronic inflammation of the joints in presence of rheumatoid arthritis, treatment of ankylosing spondylitis, treatment of irritation in the joints and spinal column caused by degenerative disorders, treatment of inflammatory soft-tissue rheumatism syndrome and painful swelling and inflammation caused by injury.
The effect of acemetacin causes a weak reduction of prostaglandin synthesis which generates an anti-inflammatory and analgesic effect. The weak inhibition of prostaglandin reduces significantly the damage caused in the mucous membrane of the gastrointestinal tract. Studies have shown that acemetacin strongly inhibits the release of histamine from mast cells and the generation of hyperthermia. Acemetacin effect also causes changes in systolic and diastolic blood pressure as well as inhibition of platelet aggregation.
Anti-inflammatory agents that are non-steroidal in nature. In addition to anti-inflammatory actions, they have analgesic, antipyretic, and platelet-inhibitory actions.They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins. Inhibition of prostaglandin synthesis accounts for their analgesic, antipyretic, and platelet-inhibitory actions; other mechanisms may contribute to their anti-inflammatory effects. (See all compounds classified as Anti-Inflammatory Agents, Non-Steroidal.)
After 8 days of oral administration twice daily of acemetacin there was an age-dependant Cmax of 276.8 ng/ml in elderly compared to 187 ng/ml for younger individuals. There was also a Tmax of 2.5 h and AUC in a range of 483-712 ng h/ml. The bioavailability of acemetacin after repeated doses is aproximately 66% in plasma and 64% in urine.|The elimination of acemetacin is divided in renal elimination that covers 40% of the complete administered dose and the restant 60% is excreted in feces.|The apparent volume of distribution of acemetacin is in a range of 0.5-0.7 L/kg.|Intravenous administration of acemetacin in healthy subjects reported a clearance rate of 4.59 ml min/kg.
Acemetacin is highly metabolized and degraded by esterolytic cleavage to form its major and active metabolite indometacin. It presents other inactive metabolites made by reaction of O-demethylation, N-desacylation and part of them are also transformed by conjugation with glucuronic acid.
The elimination half-life of acemetacin after steady-state is 4.5 hours.
Acemetacin is a non-selective inhibitor of the production of pro-inflammatory mediators derived from the action of the enzyme COX. COX is essential for the synthesis of prostaglandin E2 and F2 which are molecules derived from fatty acids and stored in the cell membrane. Acetometacine is metabolized and forms its major metabolite indometacin which is also a non-selective inhibitor of COX and exhibits the capacity to inhibit the motility of polymorphonuclear leukocytes and decreased cerebral flow by modulating the nitric oxide pathway and vasoconstriction.
acemetacin
Acemetacin Use and Manufacturing
Method 1: Using N-(4-methoxyphenyl)-4-chlorobenzohydrazide obtained in the synthesis of indomethacin as raw material and benzyl (3-acetylpropionyloxy)acetate (See Method 3 for its preparation) Cyclization to give [1-(4-chlorobenzoyl)-5-methoxy-2-methyl-1H-indole-3-acetoxy] benzyl acetate (I ). The obtained benzyl ester (I) was dissolved in glacial acetic acid and hydrogenated on a palladium-carbon catalyst at room temperature. After hydrogen absorption ceased, the catalyst was filtered off, the filtrate was concentrated under reduced pressure, and the residue was added to petroleum ether for recrystallization. It is made of exemestine, melting point 149.5~150.5℃, yield 93%. Method 2: Use indomethacin as raw material. Under stirring, 180g (0.503mol) of indomethacin was dissolved in 900ml of anhydrous dimethylformamide, 35g (0.253mol) of finely ground and dried potassium carbonate was added, and stirred at 50°C for 45min. In 15min, 128g (0.56mol) of benzyl bromoacetate was added dropwise and stirred at 50°C for 3h. Filter, concentrate the filtrate, dissolve the residue in chloroform, wash to neutrality with water, and dry over anhydrous sodium sulfate. Concentrate and recrystallize with isopropyl ether-ethyl acetate to obtain 228g of compound (I), yield 89.5%, melting point 96°C. 60g (0.12mol) of compound (I) was dissolved in 700ml of ethyl acetate, 6g of 5% palladium-carbon catalyst was added, hydrogenated at 40°C for 1h, and absorbed about 2.921L of hydrogen (20°C). Filter, concentrate, add petroleum ether (40 ~ 60 ℃) to the residue to complete the crystallization, and put it in the refrigerator for 12h. Filtration, drying in air first, and then vacuum drying, to obtain 46g of aximetene, yield 93%, melting point 150 ~ 153 ℃. Method 3: Use p-methoxyphenylhydrazine and (3-acetylpropionyloxy) benzyl acetate as raw materials. Preparation of (3-acetylpropionyloxy) benzyl acetate. 93.5g (0.68mol) dry potassium carbonate was suspended in 650ml of anhydrous dimethylformamide, heated to 40°C, and 116.1g (1.0mol) 3-acetylpropionic acid was added dropwise within 70min. After the addition is complete, cool to 30°C and add 229.1g (1.0mol) of 2-bromoacetic acid benzyl ester. The reaction was carried out at 50°C for 4h. The inorganic salt was removed by filtration and extracted with toluene. The extract was concentrated, and the residue was dissolved in 400 ml of dichloromethane, washed with water until neutral, and dried over anhydrous sodium sulfate. It was concentrated and the residue was dissolved. 1000 ml of isopropyl ether, add 1500 ml of petroleum ether (40-60 °C) cooled to -25 °C, and place at -15 °C for 1 h. Filtration and vacuum drying at 22°C yielded 235g (3-acetylpropionyloxy) benzyl acetate, yield 89%, melting point 31.5-32.5°C, boiling point 176-178°C/1.20kPa. 26.3g (0.19mo1) of p-methoxyphenylhydrazine was dissolved in 125ml of glacial acetic acid and 450ml of water. Under stirring, 50g (0.19mo1) (3-acetylpropionyloxy) benzyl acetate was added dropwise and stirred for another 1h. It was extracted with toluene, and the extract was washed with water until neutral, dried, and concentrated to obtain 75.5 g of compound (II) as a brown oil, which was directly used in the following reaction. Compound (II) was directly dissolved in 125ml of anhydrous pyridine, 500ml of anhydrous ether was added, and then a solution of 43.5g of p-chlorobenzoyl chloride in 250ml of anhydrous ether was added at 0°C, refluxed under nitrogen for 2h, cooled, washed with water to Neutral, dried and concentrated to obtain 95g of crude compound (III). Without purification, it is directly used in the next reaction. The compound (III) was directly dissolved in 380 ml of acetic acid and heated at 80°C for 5 min. It was concentrated under reduced pressure, and the residue was dissolved in chloroform, washed with sodium bicarbonate solution, and washed with water until neutral. Chromatography with alumina, elution with chloroform. After concentration, it was recrystallized from ether to obtain 10.6 g of compound (I). Based on p-methoxyphenylhydrazine, the yield is 11%. Compound (I) is then reduced to asemestine as in Method 2. Method 4: p-methoxyphenylhydrazine and (3-acetylpropionyloxy) benzyl acetate can also be cyclized first, followed by p-chlorobenzoylation. 45.7g (0.26mo1) p-methoxyphenylhydrazine hydrochloride and 69.2g (0.26mo1) (3-acetylpropionyloxy) benzyl acetate dissolved in 260ml of acetic acid, stirred at 28 ℃ for 42h, then at 50 Stir at ℃ for 5h. After evaporating 150-180 ml of solvent, add 500 ml of ice water and extract with 4×100 ml of toluene. The extracts were combined, washed with potassium bicarbonate solution until acid-free, and dried over anhydrous sodium sulfate. Filter and concentrate to obtain 92g of crude product. After distillation, 76 g of compound (IV) can be obtained with a yield of 80% and a boiling point of 165°C (≤100 Pa). 77.5g (0.44mo1) of p-chlorobenzoyl chloride was dissolved in 275ml of special petroleum (boiling point 180~220℃) and heated to boiling. In 20min, 41g (0.1lmo1) of compound (Ⅳ) was added dropwise. After the addition is complete, heat at 190-195°C for 2 to 3 hours until no hydrogen chloride is released. Cool to 40°C and add 200ml of ether. After crystallization at room temperature, put it in the refrigerator overnight. The crystals were collected by filtration, washed with isopropyl ether, and then recrystallized with ethyl acetate and isopropyl ether to obtain 43.3 g of compound (I) in 78% yield. Compound (I) is then reduced to asemestine as in Method 2.
Anti-inflammatory
Pharmaceuticals
Computed Properties
Molecular Weight:415.8
XLogP3:4.2
Hydrogen Bond Donor Count:1
Hydrogen Bond Acceptor Count:6
Rotatable Bond Count:7
Exact Mass:415.0822650
Monoisotopic Mass:415.0822650
Topological Polar Surface Area:94.8
Heavy Atom Count:29
Complexity:620
Covalently-Bonded Unit Count:1
Compound Is Canonicalized:Yes
Drug Function and Efficacy
This product is a non-steroidal anti-inflammatory drug, which may produce anti-inflammatory, analgesic and antipyretic effects by inhibiting the synthesis of prostaglandins.
Registered Holders
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CSPC OUYI Pharmaceutical Co., Ltd.
Active
China
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Bayer Ag
Inactive
Finland
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SIEGFRIED LTD
Inactive
European Union
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